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Fill and Sign the Nv Domestic Violence 497320478 Form

Fill and Sign the Nv Domestic Violence 497320478 Form

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- 1 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Case No. ____________ Dept. No.____________ IN THE JUSTICE COURT OF _________________________TOWNSHIP COUNTY OF ___________________________, STATE OF NEVADA ____________________________________________, Applicant, MOTION AND AFFIDAVIT vs. ____________________________________________, Adverse Party. Pursuant to NRS chapter 33 and/or NRS chapter 22, the above-named Applicant/Adverse Party, hereby moves the Court to grant the following relief: Extension of O _________ Extension of Order for Protection _________ Modification of Order for Protection _________ Dissolution of Order for Protection Other: _____________________________________________________________ This Motion is made for the following reasons: - 2 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 _______________________________________________________________________________________________________ State of Nevada ) County of ) I, ___________________________________, being first duly sworn, hereby state under penalties of perjury that I have read this document and that the contents are true of my own personal knowledge. Dated: ______________ _______________________________________ (Signature) _______________________________________ (Street Address) _______________________________________ (City, State, Zip) _______________________________________ (Daytime Telephone Number) _______________________________________ (Evening / Message Telephone Number) SUBSCRIBED and SWORN before me this ______ day of _____________, ______. _____________________________________ NOTARY PUBLIC / DEPUTY CLERK

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